Active NPI
Kelley McGork, P.T.
- Physical Therapist
- Gloversville, NY
National Provider Identifier
1821460288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010816-1
- Practice address
- 127 E. State Street
Lexington Center
Gloversville, NY 12078 - Phone
- (518) 773-7931
- NPI assigned
- Oct 26, 2015
- Last updated
- Oct 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010816-1 | NY | Primary |
Addresses
Primary practice location
127 E. State Street
Lexington Center
Gloversville, NY 12078
Mailing address
127 E. State Street
Lexington
Gloversville, NY 12078
Phone (518) 773-7931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160407000649 | NY | Practitioner - Physical Therapist in Private Practice | 6800194812 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010816-1 | NY | MD | Occupational Therapist |
| 010816 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1821460288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 E. STATE STREET",
"address_2": "LEXINGTON",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "12078",
"telephone_number": "518-773-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 E. STATE STREET",
"address_2": "LEXINGTON CENTER",
"city": "GLOVERSVILLE",
"state": "NY",
"postal_code": "12078",
"telephone_number": "518-773-7931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGORK",
"first_name": "KELLEY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "010816-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloversville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.